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Admission Form:
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MATA GUJRI GIRLS’ PUBLIC SCHOOL
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New Rajbada, Mundla Nayata, By Pass Road, Indore-452001(M.P.) Ph.: 0731-2862570, 6540943, Fax: 4048700 C.B.S.E. Affiliation No. 1030191 REGISTRATION FORM The Principal, Mata Gujri Girls’ Public School, Madam, I request you to register the name of my daughter/ward in class ______________for the Session _______ The particulars regarding her are as below: 1. Name (in Block Letter): ______________________________________________________________ 2. Date of Birth : ____ /____ /_______ Word: ______________________________________________ (Attach the Photostat copy of the original birth certificate of Municipal Corporation / Govt. Hospital) 3. Place of Birth: _____________________________Nationality: ________________________________ 4. Religion: _________________________________ Mother Tongue: ____________________________ 5. Postal Address (R): __________________________________________________________________ 6. Phone No.: (R): ____________________________ Mobile No.: _______________________________ 7. Father’s Name: _____________________________________________________________________ Qualification: _______________________________ Occupation: ______________________________ Office Address: ______________________________________________________________________ Phone No.: Office __________________________ Mobile No.: ________________________________ 8. Mother’s Name: _____________________________________________________________________ Qualification: _____________________________ Working / Non W.: ___________________________ Office Address: ______________________________________________________________________ Phone No.: Office __________________________ Mobile No.: _________________________________ 9. Monthly Income-Father’s: _____________________ Mother’s: ________________________________ 10. School Last Attended: _______________________________________________________________ I undertake that in case the admission is granted to my daughters/ward, I will abide the rules of the institution laid down from time to time. Date: ___________ (Signature of Parent / Guardian)